中华皮肤科杂志 ›› 2012, Vol. 45 ›› Issue (6): 381-383.

• 论著 •    下一篇

2001—2010年中国麻风病流行病学特征分析

余美文1,张国成2,严良斌3,4,沈建平5,孙培文1   

  1. 1. 中国医学科学院北京协和医学院皮肤病研究所、中国疾病预防控制中心麻风病控制中心
    2. 中国医学科学院北京协和医学院皮肤病医院(研究所)、中国疾病预防控制中心麻风病控制中心
    3. 中医学科学院皮肤病研究所
    4.
    5. 南京 中国医学科学院北京协和医学院皮肤病研究所
  • 收稿日期:2011-11-17 修回日期:2011-12-21 出版日期:2012-06-15 发布日期:2012-05-31
  • 通讯作者: 余美文 E-mail:yumeiwen@163.com

Epidemiological analysis on leprosy in China, 2001-2010

  • Received:2011-11-17 Revised:2011-12-21 Online:2012-06-15 Published:2012-05-31

摘要:

【摘要】 目的 探讨2001—2010年中国麻风病流行病学特征。方法 收集2001—2010年全国麻风病流行病学资料,开展描述和比较性分析。结果 2001—2010年共新发现麻风病例15 507例,年平均发现率为0.118/10万,其中儿童占2.7%、多菌型占86.5%、2级畸残占22.5%。2001—2010年共发现复发病例1 506例,其中464例为联合化疗后复发。高流行区与低流行区相比,新发现麻风病例中的儿童患者、女性患者、流动人口患者和复发病例中的联合化疗后复发病例,差异有统计学意义。至2010年底全国尚有现症病例6032例,患病率为0.450/10万,其中2886例在接受联合化疗。结论 2001—2010年全国麻风病发现率继续下降,但分布不均衡,麻风病高流行省份为云南、贵州、四川、广东、湖南、西藏。建议进一步加强麻风病管理、降低麻风病患者畸残。

关键词: 新发现病例

Abstract:

【Abstract】 Objective To study the epidemiological characteristics of leprosy in China, 2001-2010. Methods Data were collected from the database of the national system of leprosy surveillance. A descriptive and comparative analysis was performed. Results Totally, 15 507 new leprosy cases were detected from 2001 to 2010 with an average case detection rate of 0.118 per 100 000 population. Among these cases, 2.7% were children under 15 years, 86.5% multibacillary, and 22.5% suffered from grade 2 disability. From 2001 to 2010, a total of 1506 relapse cases were detected, and relapse occurred after multi?鄄drug therapy (MDT) in 464 of these cases. There were significant differences between low and high endemic areas in the proportion of children under 15 years, females, immigrant patients among newly detected patients as well as the proportion of cases of relapse after MDT among all the relapse cases. By the end of 2010, the registered leprosy cases were 6032 with a prevalence rate of 0.450 per 100 000 population, among whom 2886 were under MDT. Conclusions The leprosy case detection rate continued to decrease in China from 2001 to 2010 with an unequal distribution. The pocket areas were in Yunnan province, Guizhou province, Sichuan province, Guangdong province, Hunan province and Tibet Autonomous Region. It is warranted to enhance the control of leprosy and reduce the prevalence of disability due to leprosy.

Key words: newly detected cases